Posted and filed under Fraud, FWA, Healthcare.

Fraud Spotlight: CVS/Caremark Network Agreement

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive crimes. For those of you who are more involved in the fraud, waste, abuse…

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Posted and filed under Business, Payers.

Aetna Faces Uphill Battle

If you haven’t heard the name Dr. Jay Ken Iinuma before, you’re about to get acquainted. Iinuma is the former Medical Director of health insurance giant Aetna, and he might just be the reason yet another Aetna deal flatlines. During a recent deposition in a lawsuit between Aetna and Gillen Washington, a young adult with…

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